Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.42 / $2,165.21 / $14,482.00	Facility		$1,135.42	$2,165.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.93 / $1,135.42 / $3,484.36	Professional		$1,077.93	$1,135.42	$3,484.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.24 / $2,726.02 / $5,966.83	Professional		$1,038.24	$2,726.02	$5,966.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.78 / $3,175.94 / $5,122.68	Facility		$2,717.78	$3,175.94	$5,122.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.86 / $3,288.12 / $4,349.42	Professional		$1,433.86	$3,288.12	$4,349.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,135.42 / $1,453.54 / $5,306.55	Facility		$1,135.42	$1,453.54	$5,306.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,135.42 / $5,080.00 / $8,783.00	Facility		$1,135.42	$5,080.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,192.82 / $2,533.41 / $5,575.99	Professional		$1,192.82	$2,533.41	$5,575.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $849.90 / $2,222.04	Professional		$85.00	$849.90	$2,222.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,058.55 / $1,453.54 / $5,306.55	Facility		$1,058.55	$1,453.54	$5,306.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,063.10 / $3,185.74 / $3,752.62	Professional		$2,063.10	$3,185.74	$3,752.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,465.29 / $5,159.55 / $8,061.00	Professional		$1,465.29	$5,159.55	$8,061.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.21 / $2,880.21 / $2,880.21	Professional		$2,880.21	$2,880.21	$2,880.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,029.38 / $5,090.68 / $5,090.68	Professional		$3,029.38	$5,090.68	$5,090.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.48 / $3,153.03 / $4,890.68	Professional		$1,184.48	$3,153.03	$4,890.68